OHSE 09 - BMD - PPE

• Document No.

• Audit Title

• Client / Site (displayed on front page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditors

• Long sleeve shirt (Hi-Visual) or corporate long-sleeve business

  Yes

  No

  N/A

• Long pants?

  Yes

  No

  N/A

• Lace up safety boots in all areas at all times?

  Yes

  No

  N/A

• Gloves for all manual handling tasks?

  Yes

  No

  N/A

• Gloves carried by field personnel using a glove clip?

  Yes

  No

  N/A

• Hearing protection worn when and where required?

  Yes

  No

  N/A

• Personal Flotation Device (PFD) when working within 2 metres of a water body?

  Yes

  No

  N/A
Action required?

• Action

• Action due

  Date

• Allocated to

• Add location
  Address

• Signed PoMC Representative:

  Sign

• Signed Principal Contractor Representative (optional):

  Sign